Friday, May 29, 2009

An appointment with my endocrinologist

This morning I had an appointment with my endocrinologist. (As a type 1 diabetic, I have to see the doctor every three months, or four times a year.)

You might remember me being really concerned earlier this year because my A1c was 7.9. I was having some trouble with my blood sugar at that time, primarily because my nightly Lantus was wrong and because I had gotten out of the habit of checking my blood sugar often enough.

I requested that I be allowed to schedule my next doctor's appointment for 6 weeks out instead of 3 months. By the time I went in for my follow-up appointment, my A1c had dropped to 7.2.

This time it was exactly the same — 7.2 — but my doctor seemed pleased. I've been in there weekly lately for a study I am participating in, and I've had to do a ton of documentation for the study, so right now my doctor actually knows all of the intimate details of how I manage my diabetes. As a result, today's visit was fairly brief.

The one thing my doctor did suggest is that I use a different insulin-to-carb ratio at dinnertime. I take my Lantus dose in the evening, and on top of that I tend to eat big dinners (which I think tends to create some temporary insulin resistance or something), so my blood sugars have a nasty habit of popping up in the late evenings. To try to correct this, I'm going to start trying a 1 to 10 ratio at dinnertime, rather than the 1 to 15 I use the rest of the time.

Perhaps if the new dinnertime ratio does its job, I can get my A1c back down below 7 for my next visit!

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